KERNAN FAMILY PRACTICE LLC (NPI# 1871930909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871930909 |
| Entity Type | Organization |
| Organization Name | KERNAN FAMILY PRACTICE LLC |
| Practice Address |
120 Shelton Mcmurphey Blvd Ste 300 Eugene OR 97401-8718 |
| Practice Telephone | 4582102940 |
| Practice Fax Number | 4582154904 |
| Mailing Telephone | 4582102940 |
| Mailing Fax Number | 4582154904 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | KATHRYN M KERNAN (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 4582102940 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
201150172NP | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500643376 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KERNAN FAMILY PRACTICE LLC | 3580 Preston St, Eugene, OR 97401 |
| Street Address |
120 SHELTON MCMURPHEY BLVD STE 300 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811268154 | Tabitha Ann Childers | Nurse Practitioner | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2012-01-18 |
| 1801429725 | Nick Pollington | Physical Therapist | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2020-02-19 |
| 1326507807 | Todd Tucholke | Student in an Organized Health Care Education/Training Program | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401-8718 | 2019-03-14 |
| 1104210756 | Essential Physical Therapy, Inc. | Physical Therapist | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, OR 97401 | 2015-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1578928818 | Icco LLC | Clinic/Center | 1800 Coburg Road, Eugene, OR 97401 | 2015-12-30 |
| 1467926329 | Imhealth | Clinic/Center | 1029 River Rd, Eugene, OR 97404-3242 | 2019-01-14 |
| 1982070025 | Priya J Carden Md LLC | Clinic/Center | 1161 Lincoln St, Eugene, OR 97401-3417 | 2015-08-12 |
| 1619399235 | Essential Medical | Clinic/Center | 131 E 11th Ave, Eugene, OR 97401-3511 | 2014-01-16 |
| 1841539004 | Seven Springs Center for Health Inc | Clinic/Center | 1355 Oak St, Suite 100, Eugene, OR 97401-3566 | 2013-02-07 |
| 1255693313 | Gutierrez Holistic Family Medicine LLC | Clinic/Center | 3575 Donald St, Suite 110, Eugene, OR 97405-4753 | 2012-06-13 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| 1033379847 | David A. Bove, Nd PC | Clinic/Center | 1161 Lincoln St, Eugene, OR 97401-3417 | 2008-06-16 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.